Review charges confirming all the necessary documentation is properly logged, and all vital information is on the claim before submission.
Curasev has the intelligence to arm you with the tools necessary to improve coding compliance, increase clean claim submissions, and reduce re-bills.
Charges are reviewed by the defined system rules and will highlight parts of the claim with errors and warnings that need attention before submission.
Place claims that have pending documents or further authorizations on hold and set a reminder when to follow up.
Submit claims to the clearinghouse and track every step the claim takes to payer remittance.
Filter out attention-seeking claims such as payer rejections or denials.
Create paper and electronic batch submissions by account type, payer level, and other filters.
After submission, immediately know which claims are problematic and need to be fixed.
Follow a claims path from validation to transmission to acknowledgment and finally to payment.
Know what the status of your claim is at all times, keeping track of ones that need follow-ups.
Track and consolidate all denied claims and setup tasks to be assigned to the staff, such as insurance follow-ups, appeal forms, and supporting documentation.
Directly resubmit claims after correcting issues from within the Curasev system.
After resubmission, immediately get the status of whether the claim was validated properly or not.
It’s no secret that reimbursements in the home health industry are in serious decline.
That’s why it’s more important than ever to make sure you’re not leaving any money on the table and collect what you deserve.
Posting & Allocation
Automatically post all incoming ERNs from the clearinghouse and allocate payments, adjustments, balance transfers, and write-offs.
Track average DSO and find out which claims are taking longer than usual for payment and create follow-ups accordingly.
Calculate outstanding patient balance and send patient statements accordingly.
View claim adjudication information sent by the payer on why a particular claim was paid fully, paid partially, or denied.
Set custom rules based on adjustment codes and code groups.
Keep your team working on the right claim at the right time by auto-creating tasks based on custom rules defined.
Set due dates for tasks to keep your team reminded and accountable for making deadlines.
See Curasev in Action and Experience the Difference